Thyroidectomy Is Optimal Treatment for Graves’ Disease

Feliciano, David V.; Lyons, John D.

doi:10.1016/j.jamcollsurg.2010.12.036

Cited by 21 publications

(16 citation statements)

References 46 publications

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“…Thyroidectomy is often performed in patients with a large goiter, as a secondary treatment when antithyroid medication fails, in younger patients, and in patients who hope for an immediate remission. There is much controversy as to whether subtotal thyroidectomy or total thyroidectomy should be selected to treat patients with Graves' disease [9][10][11][12][13][14][15]. We think that long-term euthyroidism without medication, not euthyroidism with thyroxin replacement therapy, is the ideal goal and that it can only be achieved by subtotal thyroidectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Several papers have reported that recommended total thyroidectomy as the standard surgical procedure for Graves' disease, however, surgical complication, especially hypoparathyroidism was reported to increase. The prerequisite for the surgical treatment is low morbidity [12,13,[18][19][20][21][22]. Thus, some authors recommend near total thyroidectomy, leaving a small thyroid remnant.…”

Section: Surgical Complicationmentioning

confidence: 99%

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Changes in the thyroid function of Graves’ disease patients treated by subtotal thyroidectomy

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Complicationmentioning

confidence: 99%

Changes in the thyroid function of Graves’ disease patients treated by subtotal thyroidectomy

et al. 2012

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“…Surgery offers a definitive treatment of GD in children and adolescents and TT is the procedure most widely accepted, given the risk of relapse associated with PT (151,152) (D,B). This procedure is safe when performed by an experienced surgeon, requiring short hospital stays (65,(151)(152)(153) (B,D,B,B).…”

Section: Indication For Thyroidectomy In Children or Adolescents Wmentioning

confidence: 99%

“…This procedure is safe when performed by an experienced surgeon, requiring short hospital stays (65,(151)(152)(153) (B,D,B,B).…”

Section: Indication For Thyroidectomy In Children or Adolescents Wmentioning

confidence: 99%

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Consenso brasileiro para o diagnóstico e tratamento do hipertireoidismo: recomendações do Departamento de Tireoide da Sociedade Brasileira de Endocrinologia e Metabologia

Maia

Scheffel

Meyer

et al. 2013

Arq Bras Endocrinol Metab

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SIntroduction: Hyperthyroidism is characterized by increased synthesis and release of thyroid hormones by the thyroid gland. Thyrotoxicosis refers to the clinical syndrome resulting from excessive circulating thyroid hormones, secondary to hyperthyroidism or due to other causes. This article describes evidence-based guidelines for the clinical management of thyrotoxicosis. Objective: This consensus, developed by Brazilian experts and sponsored by the Department of Thyroid Brazilian Society of Endocrinology and Metabolism, aims to address the management, diagnosis and treatment of patients with thyrotoxicosis, according to the most recent evidence from the literature and appropriate for the clinical reality of Brazil. Materials and methods: After structuring clinical questions, search for evidence was made available in the literature, initially in the database Medline, PubMed and Embase databases and subsequently in SciELO -Lilacs. The strength of evidence was evaluated by Oxford classification system was established from the study design used, considering the best available evidence for each question. Results: We have defined 13 questions about the initial clinical approach for the diagnosis and treatment that resulted in 53 recommendations, including the etiology, treatment with antithyroid drugs, radioactive iodine and surgery. We also addressed hyperthyroidism in children, teenagers or pregnant patients, and management of hyperthyroidism in patients with Graves' ophthalmopathy and various other causes of thyrotoxicosis. Conclusions: The clinical diagnosis of hyperthyroidism usually offers no difficulty and should be made with measurements of serum TSH and thyroid hormones. The treatment can be performed with antithyroid drugs, surgery or administration of radioactive iodine according to the etiology of thyrotoxicosis, local availability of methods and preferences of the attending physician and patient. Arq Bras Endocrinol

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Randomized clinical trial of bilateral subtotal thyroidectomy versus total thyroidectomy for Graves' disease with a 5-year follow-up11

Barczyński

Konturek

Hubalewska‐Dydejczyk

et al. 2012

British Journal of Surgery

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Thyroidectomy Is Optimal Treatment for Graves’ Disease

Cited by 21 publications

References 46 publications

Changes in the thyroid function of Graves’ disease patients treated by subtotal thyroidectomy

Changes in the thyroid function of Graves’ disease patients treated by subtotal thyroidectomy

Consenso brasileiro para o diagnóstico e tratamento do hipertireoidismo: recomendações do Departamento de Tireoide da Sociedade Brasileira de Endocrinologia e Metabologia

Randomized clinical trial of bilateral subtotal thyroidectomy versus total thyroidectomy for Graves' disease with a 5-year follow-up11

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